NPI 1104169366 · live from the CMS NPI Registry
Ronald Tyler Davis, D.O.
Ophthalmology in North Wilkesboro, NC. National Provider Identifier 1104169366, active.
NPI record
| NPI | 1104169366 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1404 Willow Ln Ste B, North Wilkesboro, NC 28659 |
| Practice phone | 336-903-6820 |
| Mailing address | Medical Center Blvd, Winston Salem, NC 27157 |
| Enumerated | April 5, 2013 |
| Last updated | June 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 2017-00503 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.